<br><br>

<form action="" id="form" method="post">
	<label class="label-nome">Nome da Unidade: *</label>
	<input type="text" id="name" name="name" class="ui-widget ui-state-default ui-corner-all input-name"/>
	
	<input type="submit" value="Criar" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only"/>
</form>

<br><br>